Organization
LAZENBY OPTOMETRY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRY WAYNE LAZENBY O.D. (DOCTOR)
(417) 206-0399
Entity
Organization
Contact information
Practice address
2318 E. 32ND ST., SUITE A, JOPLIN, MO 64804-4326
(417) 206-0399
(417) 206-0567
Mailing address
2318 E. 32ND ST., STE A, JOPLIN, MO 64804-4326
(417) 206-0399
(417) 206-0567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2703
MO
Other
Enumeration date
05/04/2007
Last updated
06/16/2009
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